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Tıbbi Laboratuvarlarda Preanalitik Süreç Takibinin Önemi
No full textAmaç: Bu çalışmanın amacı, laboratuvarımızda son beş yıl içinde preanalitik süreçte en sık görülen uygunsuz numune türleri, oranları açısından niceliksel
verileri karşılaştırmak ve ayrıca önleyici tedbir olarak analitik sürecin kalitesini artırmasını beklediğimiz, personele verilen iyi numune alma uygulamaları
eğitimlerinin etkinlik durumunu değerlendirmektir.
Gereç ve Yöntem: 2019-2023 yılları arasında başvuran hastalardan alınan 969,276 numune, laboratuvar bilgi sistemi kullanılarak analiz edildi. Kabul ve ret
kriterlerine göre alınan numunelerin bilgileri sisteme işlendi. Yüzdeleri hesaplanarak dağılım eğrileri çıkartılıp yorumlanıp, ayda bir kez iyi numune alma
uygulamaları eğitimi verildi.
Bulgular: Yaptığımız çalışmada numunelerin en fazla pıhtılı numune %37,7 ikinci sıklıkla ise hemoliz nedeniyle %36,3 oranında reddedildiğini tespit ettik.
Sonuç: Her ay yoğun bakım, iç hastalıkları, cerrahi ve çocuk kliniği, acil servis ve poliklinik numune alma birimlerinde kan numunesi alan sağlık personeline
iyi numune alma uygulamaları eğitimleri uygulamalı olarak verildi, konuya dair farkındalık oluşturuldu. Ayrıca hastanemizde yeni göreve başlayan sağlık
personeline oryantasyon eğitimi kapsamında numune kabul ve ret kriterlerine dair eğitim yapılmaya başlandı.Aim: This study aims to compare quantitative data on the most common inappropriate sample types and rates in our medical laboratory during the last
five years and also to determine the effectiveness of good sampling practices training given to personnel, whom we expect to improve the quality of the
analytical process as a preventive measure.
Materials and Methods: 969,276 samples taken from patients admitted between 2019-2023 were analyzed using the laboratory information system. The
information of the samples taken according to the acceptance and rejection criterias were written into the system. Distribution curves were calculated and
interpreted by calculating percentages, and good sampling practices training was given once a month.
Findings: In our study, we found that the samples were rejected most frequently due to clots at 37.7% and the second most frequently due to hemolysis at
36.3%.
Results: Practical training on good sampling practices was given to healthcare personnel who collects blood samples every month in intensive care,
internal medicine, surgery, pediatric clinics, emergency services and outpatient clinic sampling units, and awareness on the subject was raised. In addition,
training on sample acceptance and rejection criteria has started to be provided to newly appointed healthcare personnel in our hospital within the scope of
orientation training
THE NEIGHBOR GRAPH OF BINARY SELF-ORTHOGONAL CODES
Get PDF. We define the neighbor graph of binary self-orthogonal codes, where two codes are connected by an edge if they can be reached by the neighbor construction. We show that this graph consists of two connected, regular subgraphs consisting of self-orthogonal codes that contain the all-one vector 1 and self-orthogonal codes that do not contain the all-one vector 1. We count the number of vertices and edges in each and give the degree of the vertices
Fitness yapan bireylerde beslenme bilgisi ve besin takviyelerine inanç düzeyleri arasındaki ilişki / The relationship between nutrition knowledge and belief levels regarding dietary supplements in individuals engaged in fitness
No full textSağlıklı yaşamak ve yaşa bağlı oluşabilecek sağlık sorunlarını aza indirebilmek için en temel etkenler beslenme ve fiziksel aktivedir. Bu çalışma fitness yapan bireylerin beslenme alışkanlıkları ve ergojenik destek kullanımlarına karşı tutumları arasındaki ilişkiyi ele alan nicel bir araştırmadır. Araştırmaya İstanbul'da bir vakıf üniversitesi spor merkezine devam eden 106 (%54.9) kadın 87 (%45.1) erkek olmak üzere toplam 193 kişi katılmıştır. Yaş ortalamaları ve eğitim durumlarına bakıldığında sırasıyla kadınların yaş otalamaları 24.21±6.64 yıl olup %71.7'sinin lisans mezunu olduğu ve erkeklerin 23.31±5.56 yıl olup %88.5'inin lisans mezunu olduğu ve her iki cinsiyette de bekarların %90 civarında olduğu bulunmuştur. Katılımcıların beden kütle indeksleri (BKİ) ortalamaları kadınlarda 22.36±3.70 kg/m², erkeklerde 23.60±3.45 kg/m² olarak tespit edilmiştir. Katılımcılara uygulanan anketlerde katılımcıların sosyodemografik özellikleri ile birlikte fiziksel aktivite durumları, beslenme alışkanlıkları ve bilgi düzeyleri, besin takviyelerine karşı inanç ve tutum düzeyleri, besin tüketim özellikleri belirlenmiştir. Katılımcıların fiziksel aktivitelerine ilişkin verilere bakıldığında, kadınların %41.5'inin, 1-3 yıl, erkeklerin ise %40.2'sinin 3-6 ay düzenli fiziksel aktivite yaptıkları tespit edilmiştir. Tercih edilen fiziksel aktivite türlerinin ise kadınlarda %34.9 oranında fitness, erkeklerde ise %49.4 oranında yürüyüş olduğu belirlenmiştir. Fiziksel aktivite yapma amaçlarının ise kadınlarda ağırlık kazanımı veya kas yapmak (%32.1), erkeklerde ise ağırlık kaybı (%34.5) şeklinde belirlenmiştir. Katılımcıların %77'sinin sporcu beslenme bilgi düzeyinin zayıf olduğu, büyük çoğunluğunun (%81) daha önce veya şu an ergojenik destek ürünü kullanmadığı belirlenmiştir. Ergojenik destek ürünleri kullanan katılımcılar arasında en yaygın kullanılan ergojenik desteğin protein (%8.8) ve kreatin (%9.8) olduğu saptanmıştır. Katılımcıların büyük çoğunluğunun ergojenik destek ürünlerini "kendi kararları" ile kullandıkları belirlenmiş olup, besin takviyelerine yönelik inanç düzeyleri ile beslenme bilgi düzeyi arasında istatistiki anlamlılık olmadığı saptanmıştır (p>0.05). Bu çalışmada, fitness yapan bireylerin büyük çoğunluğunun yeterli düzeyde beslenme bilgisine sahip olmadığı ve beslenme süreçlerini genellikle yanlış bilgilerle, kendi kararlarına dayanarak yönlendirdikleri sonucuna varılmıştır. Katılımcıların eğitim düzeyleri arttıkça beslenme bilgi düzeylerinin arttığı gözlemlenmiştir. Kadın ve erkek katılımcıların karbonhidrat, protein ve yağ alımlarının referans değerlere uygun olduğu, günlük kolesterol ve sodyum alımlarının referans değerlerin üzerinde olduğu, tiamin alımlarının ise her iki grupta da referans değerlerin altında kaldığı tespit edilmiştir. Bu bulgular, fitness yapan bireylerde yeterli ve dengeli beslenme alışkanlıklarının kazandırılmasının ve beslenme bilgi seviyelerinin artırılmasının halk sağlığı açısından önemli olduğunu göstermektedir.Nutrition and physical activity are essential for living healthy and minimizing age-related health problems. This quantitative study examines the relationship between the nutritional habits of fitness-oriented individuals and their attitudes toward using ergogenic supplements. 193 people, 106 (54.9%) women and 87 (45.1%) men, who attend a foundation university sports center in Istanbul, participated in the study. When the average age and education status are examined, it is seen that the women are 24.21±6.64 years old, and 71.7% of them have a bachelor's degree. The men are 23.31±5.56 years old, and 88.5% have bachelor's degrees. It was found that around 90% of both genders are single. The participants' average body mass index (BMI) was 22.36±3.70 kg/m² for women and 23.60±3.45 kg/m² for men. In the surveys applied to the participants, the participants' sociodemographic characteristics, physical activity status, nutritional habits and knowledge levels, belief and attitude levels towards food supplements, and food consumption characteristics were determined. When the data on the participants' physical activities were examined, it was determined that 41.5% of women had regular physical activity for 1-3 years, and 40.2% of men had regular physical activity for 3-6 months. It was determined that the preferred types of physical activity were fitness in women (34.9%) and walking in men (49.4%). The purpose of physical activity was determined as gaining weight or building muscle in women (32.1%) and losing weight in men (34.5%). It was determined that 77% of the participants had poor knowledge of sports nutrition, and the vast majority (81%) had not used ergogenic support products before or currently. It was determined that the most commonly used ergogenic support among the participants who used ergogenic support products were protein (8.8%) and creatine (9.8%). It was determined that the vast majority of the participants used ergogenic support products "by their own decision," and it was found that there was no statistical significance between the belief levels toward nutritional supplements and the level of nutritional knowledge (p>0.05). In this study, it was concluded that the majority of individuals engaged in fitness activities do not have sufficient nutritional knowledge and generally direct their nutritional processes based on incorrect information and personal decisions. It was observed that as participants' educational levels increased, their nutritional knowledge also improved. The carbohydrate, protein, and fat intakes of both male and female participants were found to be in line with reference values, while their daily cholesterol and sodium intakes exceeded reference values, and thiamine intake remained below reference levels in both groups. These findings highlight the importance of promoting adequate and balanced nutritional habits and increasing nutritional knowledge among fitness participants for the benefit of public health
Assessment of the association between aesthetic products and perceived product quality: an analysis of customer attitudes
No full textPurpose - This paper aims to high vs. low aesthetic designed products, investigating how perceived quality acts as a mediator between aesthetic design and product attitude. The authors test how different individuals, such as minimalists vs. maximalists, hedonists vs. utilitarians and selfesteem levels, modify this relationship. Design/methodology/approach - Seven hypotheses and a research framework model were developed. Three studies were conducted using the PROCESS Macro V4.3 for analysis, with the results subsequently discussed. A finalized research framework is presented. Findings - The authors observed that aesthetically pleasing designs positively influence consumer attitudes towards products. Hedonism versus utilitarianism and self-esteem are essential components within the indirect pathway, connecting aesthetic design to perceived quality and subsequently to product attitude, while minimalism directly affects the relationship between aesthetic design and product attitude. Practical implications - Marketers must comprehend diverse consumer preferences and traits for business success. Perceived quality, distinct from actual quality, strongly shapes pre-purchase product attitudes. Therefore, aligning design with perceived quality is crucial. Originality/value - This study provides valuable insights into how individual factors influence the choice of products with different aesthetic designs
Factors affecting the need for ureteral catheterization in symptomatic pregnancy hydronephrosis
No full textPurpose In our study, considering the clinical parameters we aimed to determine the most appropriate treatment approach for symptomatic gestational hydronephrosis and conditions requiring DJS insertion. Methods Our study was a retrospective cross-sectional study and 137 patients were included. The patients were divided into two groups: those with conservative follow-up and those with DJS. Demographic and clinical data, the degree of HUN detected in urinary ultrasonography and the anteroposterior diameter of the renal pelvis were evaluated. Factors affecting the need for DJS between groups were investigated. Also, it was aimed to determine the cut-off value for the HUN degree and renal pelvis AP diameter in patients with DJS. Results The presence of urinary system stones was statistically significantly higher in the group with DJS than in the group without DJS (p = 0.014). HUN degrees and AP diameter were statistically significantly higher in the DJS group (p < 0.001, p < 0.001, respectively). HUN degree and renal pelvis AP diameter were the two most important predictors for DJS insertion (p = 0.005, p = 0.015, respectively). The AP diameter cut-off value for DJS installation was determined as 20.5 mm. Conclusion Although there are conservative and surgical treatment options for symptomatic hydronephrosis of pregnancy, the factors at the decision point between these options are still a matter of debate. In our study, we concluded that the most important determinants at this decision point are the HUN degree and renal pelvis AP diameter. We think that the cut-off values we have determined for these markers will guide clinicians in deciding on treatment
Pilates yapan kadınlarda germe egzersizlerinin primer dismenore semptomları ve ağrı üzerine etkilerinin incelenmesi / Investigation of the effects of stretching exercises on primary dysmenorhea symptoms and pain in women performing pilates
No full textPrimer dismenore (PD), pelvik veya karın ağrısı ile karakterize olup bir dizi semptomun eşlik ettiği yaygın bir jinekolojik durumdur. Prevalansı yadsınamayacak biçimde yüksek olan primer dismenore, kadınların yaşam kalitesini önemli ölçüde etkileyen ve üretkenliği azaltan bir sendromdur. Tedavide egzersiz protokolleri ön plana çıkmaktadır. Bu çalışmanın amacı, primer dismenoreli kadınlarda pilatese ek olarak verilen germe egzersizlerinin primer dismenore semptomları ve ağrı üzerine etkilerinin incelenmesidir. 20 PD'li kadın, müdahale grubu ve kontrol grubu olmak üzere 10'ar kişilik iki gruba ayrılmıştır. Müdahale grubuna 8 hafta boyunca haftada 3 gün çevrimiçi olarak germe egzersizleri yaptırılmıştır. Değerlendirmeler müdahale öncesi ve sonrası olmak üzere 2 kez uygulanmıştır, ağrı Vizüel Analog Skala ile, menstrual semptomlar Menstruasyon Semptom Ölçeği ile, yaşam kalitesi ise Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği-Kısa Form ile değerlendirilmiştir. Tedavi öncesi ve sonrasında yapılan değerlendirmeler sonucunda müdahale grubundaki katılımcıların ağrı düzeylerinde ve menstruasyon semptomları skorlarında kontrol grubuna kıyasla istatistiksel olarak anlamlı farklılıklar görülürken (p0,05). Sonuç olarak primer dismenorede menstrual ağrı ve menstrual semptomlarının şiddetini azaltmada germe egzersizlerini içeren telerehabilitasyon programları kullanılabilir bir tedavi yöntemidir.Primary dysmenorrhea (PD) is a common gynecological condition characterized by pelvic or abdominal pain and accompanied by a range of symptoms. Primary dysmenorrhea, whose prevalence is undeniably high, is a syndrome that significantly affects women's quality of life and reduces productivity. Exercise protocols come to the fore in treatment. The aim of this study is to examine the effects of stretching exercises in addition to pilates on primary dysmenorrhea symptoms and pain in women with primary dysmenorrhea. 20 women with PD were divided into two groups of 10 each: the intervention group and the control group. The intervention group performed online stretching exercises 3 days a week for 8 weeks. Evaluations were performed twice, before and after the intervention, pain was evaluated with the Visual Analog Scale, menstrual symptoms were evaluated with the Menstruation Symptom Scale, and quality of life was evaluated with the World Health Organization Quality of Life Scale-Short Form. As a result of the evaluations made before and after the treatment, statistically significant differences were observed in the pain levels and menstrual symptom scores of the participants in the intervention group compared to the control group (p0.05). As a result, telerehabilitation programs including stretching exercises are a usable treatment method to reduce the severity of menstrual pain and menstrual symptoms in primary dysmenorrhea
Analyzing the mother and father's parenthood behaviors in the early postpartum period
No full textObjectiveThis study aimed to examine the parenting behaviors of mothers and fathers during the postpartum period.MethodsThis descriptive cross-sectional study was conducted on 200 married individuals who had healthy babies between February 2019-September 2020 at a hospital. This study used introductory information forms for parents, "Postpartum Parenting Behavior Scale (PPBS)" and "Marital Adjustment Scale (MAS)".ResultsMothers had higher PPBS scores than fathers. Higher scores were observed in parents who intentionally had children, married for love, had income exceeding expenses, younger fathers, fewer children, and high MAS scores. Fathers' PPBS scores were lower in cases of cesarean delivery and longer marriage durations. Mothers' scores were unaffected by marital adjustment, number of miscarriages/abortions, age at marriage, number of children, infant sex, family structure, region, residence, social security, employment status, or education level.ConclusionMothers had high PPBS scores, and fathers had moderate scores. Their PPBS scores were affected by their desire to have children, the manner of marriage, and income level. Additionally, that of the fathers was influenced by age, number of children, marital adjustment, and mode of delivery
Doğum Sürecinde Aile Desteğinin Doğum Memnuniyeti ve Konfor ile İlişkisi
Get PDFAmaç: Bu araştırma, doğum sürecinde aile desteğinin annelerin doğum memnuniyetine ve konforuna etkisini incelemek amacıyla yapıldı.
Gereç ve Yöntem: Tanımlayıcı ve kesitsel türde planlanan çalışmaya, Temmuz-Eylül 2021 tarihleri arasında doğum için başvurmuş olan ve çalışmaya katılmayı
kabul eden 350 multipar kadın örnekleme dahil edilmiştir. Araştırmada veri toplama formu olarak kadınlara ait sosyo-demografik bilgilerin yer aldığı “Anne
Anket Formu”, “Doğum Konforu Ölçeği (DKÖ)” ve “Doğumda Anne Memnuniyetini Değerlendirme ölçeği (NDAMDÖ)” kullanılmıştır.
Bulgular: Çalışmaya katılan annelerin NDAMDÖ puan ortalaması 204,49±15,21 ve DKÖ puan ortalaması 41,55±4,03 olduğu belirlendi. Annelerin yaş, eğitim
durumu, doğum öncesi izlem ile hem DKÖ hem de NDAMDÖ toplam puanları arasında, planlı gebelik ile DKÖ puan ortalaması arasında anlamlı fark bulunurken
refakatçinin destek sağlama durumu ile de NDAMDÖ puan ortalaması arasında anlamlı fark bulundu (p<0.05). Ayrıca doğum konforu ölçeği ve memnuniyet
ölçeği arasında pozitif yönlü orta korelasyon tespit edildi.
Sonuç: Bu sonuçlar doğrultusunda doğum ortamının ve aile desteğinin doğuma yönelik konforu ve memnuniyeti etkilediği saptandı. Ayrıca, annelerin doğum
konforlarının doğum memnuniyeti üzerinde etkili bir faktör olduğu görüldü.Objectives: This study of maternity and family support environment was conducted to investigate the effect on the birth of comfort and satisfaction.
Methods: The study, which was planned as a descriptive and cross-sectional type, included 350 multiparous pregnant women who applied to Istanbul
Başakşehir Çam and Sakura City Hospital for delivery between July and September 2021 and agreed to participate in the study. Maternal Questionnaire
Form, Childbirth Comfort Questionnaire, and Maternal Satisfaction Evaluation Scale at Childbirth were used as data collection forms in the study. Research
data were collected by face to face technique in the hospital’s maternity unit.
Results: It was detected that the average score of the maternal satisfaction assessment scale at birth, and childbirth comfort questionnaire were
204,49±15,21 and 41,55±4,03 respectively. At the same time, it was determined that there is a statistically meaningful relationship between both scales and
the mothers’ mean age, educational status, number of prenatal follow-up, anxiety and pain expression towards childbirth (p<0.05). While there was a meaningful difference between working status, planned pregnancy, getting education and exercising during pregnancy, and the childbirth comfort questionnaire
average score (p<0.05), there was a meaningful difference between the place of residence, family type, job, living child, support status of the companion
and the expressions related to birth experience, and assessment of maternal satisfaction at normal birth scale average score (p<0.05). In addition, a positive middle correlation was found between Childbirth Comfort Questionnaire and Satisfaction Scale.
Conclusion: According to the results of the study, it was determined that birth environment and family support have an impact on birth comfort and satisfaction. In addition, it was observed that the birth comfort of the mothers is an effective factor on birth satisfaction
The effect of a support program based on the psychosocial needs of the family on the family care burden of ischemic heart patients: a systematic review study
No full textIntroduction: Heart disease can have debilitating physical and mental consequences that can affect the care behavior of the elderly. The aim of study was the effect of a support program based on the psychosocial needs of the family on the family care burden of ischemic heart patients. Methods: Science Direct, Pub Med, Google Scholar, SID, MagIran databases were reviewed and electronic data were used to identify the psychosocial needs of the family on the burden of family care of heart patients. In the initial search, 824 articles were obtained, of which 379 duplicate articles were removed. Considering the inclusion and exclusion criteria, the number of articles was reduced to 445 articles. Finally, 10 articles were included in study. Results: Atotal of 824 articles were screened, which led to the selection of 11 studies that met the inclusion criteria and were included in study. Some studies defined caregivers as family caregivers. Five studies focused on life partners and caregivers of patients. Some studies generally defined caregivers as someone identified by the patient as a caregiver. Conclusion: Providing a training program about the different dimensions of support that family caregivers need reduces the perceived stress of family caregivers of cardiac patients
Yetişkin kekemelerde otomatik düşüncelerin değerlendirilmesi = Evaluation of automatic thoughts in stuttering individuals
No full textGerçekleştirilen bu çalışmanın temel amacı bireylerin kekemelik şiddetine bağlı olarak otomatik düşünce düzeylerindeki değişimin belirlenmesidir. Bir başka ifade ile kekemelik şiddeti ile otomatik düşünce düzeyi arasındaki ilişkinin sınanması, ilişki olması halinde bu ilişkinin yönü ve kuvvetinin belirlenmesidir. Bu temel amacın yanı sıra kekemeliğe ilişkin terapi alıp tamamlamış, kekemeliğe ilişkin terapi almaya devam eden, kekemeliğe ilişkin terapi almamış ve akıcı konuşan bireylerin otomatik düşünce düzeylerinin karşılaştırılması da araştırmanın temel amaçları arasında yer almaktadır. Çalışma kapsamında nedensel – karşılaştırma modeli tercih edilmiştir. Araştırmanın örneklemi 60 kişiden oluşurken kekemelik terapisi alıp tamamlayanlar, kekemelik terapisine devam edenler, kekemelik terapisi almayanlar ve akıcı konuşanlar şeklinde oluşturulan dört grupta katılımcılar eşit dağılım göstermiştir. Katılımcıların 17 – 36 yaş aralığında iken yaş ortalamaları 26.77 olmuştur. Katılımcıların 43'ü erkek, 17'si kadındır. Kekemelik şiddeti dağılımında ise katılımcıların %48,9'unun (22) hafif, %26,7'sinin (12) çok hafif, %8,9'unun (4) orta, yine %8,9'unun (4) şiddetli ve %6,7'sinin (3) çok şiddetli olarak sınıflandırıldığı görülmüştür. Çalışma kapsamında kekemelik şiddeti ile otomatik düşünce düzeyi arasında pozitif yönlü zayıf bir ilişkiye rastlanmıştır ancak bu ilişkinin istatistiksel olarak anlamlı olmadığı belirlenmiştir. Terapi alma, terapiyi tamamlama, terapi almama ve akıcı konuşmaya göre oluşturulan grupların kekemelik şiddeti ve otomatik düşünme düzeylerinde de gruplara göre istatistiksel olarak anlamlı bir farklılığa rastlanılmamıştır. Sonuç olarak ön görülenin aksine kekemelik terapisinin bireylerin kekemelik düzeyleri ve otomatik düşünme düzeyleri üzerinde anlamlı bir farklılığa yol açmadığı, kekemelik şiddeti ile otomatik düşünme düzeyi arasında da istatistiksel olarak anlamlı bir ilişki olmadığı belirlenmiştir.The main purpose of this study is to determine the change in automatic thought depending on the amount of stuttering. In other words, it is to test the relationship between stuttering change and automatic thought level and, if there is a relationship, to determine the direction and strength of this relationship. In addition to this basic purpose, it is among the basic information taught to those who have received and completed stuttering therapy, those who continue stuttering therapy, those who have not received stuttering therapy, and against the development of automatic thoughts while speaking fluently. Within the scope of the study, the causal-comparative model was preferred. While the sample of the study consisted of 60 people, the participants were equally distributed in four groups: those who received and completed stuttering therapy, those who continued stuttering therapy, those who did not receive stuttering therapy and those who spoke fluently. While the participants were between the ages of 17 and 36, their average age was 26.77. 43 of the participants are men and 17 are women. In terms of stuttering severity distribution, 48.9% (22) of the participants had mild stuttering, 26.7% (12) had very mild stuttering, 8.9% (4) had moderate stuttering, and 8.9% (4) had severe stuttering. and 6.7% (3) were classified as very severe. Within the scope of the study, a weak positive relationship was found between stuttering severity and automatic thought level, but it was determined that this relationship was not statistically significant. No statistically significant difference was found in the stuttering severity and automatic thinking levels of the groups based on receiving therapy, completing therapy, not receiving therapy and speaking fluently. As a result, contrary to what was predicted, it was determined that stuttering therapy did not cause a significant difference in the individuals' stuttering levels and automatic thinking levels, and there was no statistically significant relationship between stuttering severity and automatic thinking levels